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1. 发明申请

US20050015112A1 Cardiac valve procedure methods and devices 有权
标题翻译：心脏瓣膜手术方法和装置
公开(公告)号：US20050015112A1
公开(公告)日：2005-01-20
申请号：US10713386
申请日：2003-11-13
申请人： William Cohn , Gregory Lambrecht , John Liddicoat , Robert Moore , Richard Streeter , Todd Davenport
发明人： William Cohn , Gregory Lambrecht , John Liddicoat , Robert Moore , Richard Streeter , Todd Davenport
IPC分类号： A61F2/06 , A61F2/24
CPC分类号： A61F2/2412 , A61F2/2427 , A61F2220/0016 , A61F2250/0059
摘要： Devices and methods for performing intravascular procedures without cardiac bypass include embodiments of temporary filter devices, temporary valves, and prosthetic valves. The temporary filter devices have a cannula which provides access for surgical tools for effecting repair of cardiac valves. The cannula may have filters which prevent embolitic material from entering the coronary arteries and aorta. The valve devices may also have a cannula for insertion of the valve into the aorta. The valve devices expand in the aorta to occupy the entire flow path of the vessel and operate to prevent blood flow and to permit flow through the valve. The prosthetic valves include valve fixation devices which secure the prosthetic valve to the wall of the vessel. The prosthetic valves are introduced into the vascular system in a compressed state, advanced to the site of implantation, and expanded and secured to the vessel wall.
摘要翻译：不用心脏旁路进行血管内手术的装置和方法包括临时过滤装置，临时阀和人工瓣膜的实施例。临时过滤装置具有套管，该套管为进行心脏瓣膜修复的外科手术工具提供通路。套管可以具有防止栓塞材料进入冠状动脉和主动脉的过滤器。瓣膜装置还可以具有用于将瓣膜插入主动脉的插管。瓣膜装置在主动脉中膨胀以占据血管的整个流动路径，并且操作以防止血液流动并允许流过瓣膜。假体瓣膜包括固定假体瓣膜至血管壁的瓣膜固定装置。假体瓣膜以压缩状态引入血管系统中，前进到植入部位，并且扩张并固定到血管壁。

2. 发明申请

US20050010246A1 Intravascular filter with debris entrapment mechanism 有权
标题翻译：血管内滤器与碎片夹带机制
公开(公告)号：US20050010246A1
公开(公告)日：2005-01-13
申请号：US10772782
申请日：2004-02-05
申请人： Richard Streeter , Gregory Lambrecht , John Liddicoat , Robert Moore , Todd Davenport
发明人： Richard Streeter , Gregory Lambrecht , John Liddicoat , Robert Moore , Todd Davenport
IPC分类号： A61F2/01 , A61M29/00
CPC分类号： A61F2/013 , A61F2/01 , A61F2002/018 , A61F2230/0006 , A61F2230/0067 , A61F2230/008
摘要： Apparatus for filtering and entrapping debris in the vascular system of a patient, the apparatus including a filter to allow blood to flow therethrough and to restrict passage of debris, wherein the filter captures debris carried in a first direction of blood flow. The apparatus further includes an entrapment mechanism which allows passage of debris and blood therethrough, in the first direction of blood flow and prevents debris passage in a second direction. The entrapment mechanism and filter allow blood and debris therethrough in the first direction of blood flow. The entrapment mechanism prevents debris flow in the second direction of blood flow. A method for filtering and entrapping debris in the vascular system includes inserting the apparatus into the vascular system, allowing blood and debris carried therein to flow through the entrapment mechanism, and removing the apparatus and accumulated debris from the vascular system.
摘要翻译：用于过滤和捕获患者血管系统中的碎屑的装置，所述装置包括允许血液流过其中并且限制碎屑通过的过滤器，其中所述过滤器捕获沿第一血流方向携带的碎屑。该装置还包括捕获机构，其允许碎屑和血液沿第一血流方向通过，并且防止碎片在第二方向上通过。捕获机构和过滤器允许在第一血流方向上的血液和碎屑通过其中。捕获机制防止泥石流在第二个血流方向。用于过滤和捕获血管系统中的碎屑的方法包括将装置插入血管系统中，允许其中携带的血液和碎屑流过夹带机构，以及从血管系统移除装置并累积碎屑。

3. 发明申请

US20050055088A1 Method and apparatus for performing a procedure on a cardiac valve 审中-公开
标题翻译：用于在心脏瓣膜上执行手术的方法和装置
公开(公告)号：US20050055088A1
公开(公告)日：2005-03-10
申请号：US10895272
申请日：2004-07-20
申请人： John Liddicoat , Gregory Lambrecht , Todd Davenport , William Cohn , Steven Woolfson , Daniel Taylor
发明人： John Liddicoat , Gregory Lambrecht , Todd Davenport , William Cohn , Steven Woolfson , Daniel Taylor
IPC分类号： A61F2/24 , A61F2/06
CPC分类号： A61F2/2427 , Y10S623/902
摘要： The present invention comprises a method for deploying an aortic valve prosthesis. This valve prosthesis may include any of the known aortic valves including, but not limited to, stented and unstented bioprosthetic valves, stented mechanical valves, and expandable or self-expanding valves, whether biological or artificial. The method involves the steps of: making a first opening leading to the left atrium; passing a valve prosthesis through the opening and into a cardiac chamber of the left side of the heart using a first manipulation instrument; making a second opening in the arterial system and advancing one end of a second manipulation instrument through the arterial opening and into the aforementioned cardiac chamber; securing the second manipulation instrument to the valve prosthesis; and using the second manipulation instrument to retract at least some portion of the valve prosthesis out of the aforementioned cardiac chamber.
摘要翻译：本发明包括用于展开主动脉瓣假体的方法。该瓣膜假体可以包括任何已知的主动脉瓣，包括但不限于支架化和不连续的生物假体瓣膜，支架式机械瓣膜，以及可膨胀或自膨胀阀，无论是生物还是人造的。该方法包括以下步骤：使通向左心房的第一开口; 使用第一操纵仪器使阀门假体穿过开口进入心脏左侧的心室; 在所述动脉系统中形成第二开口，并使第二操纵器具的一端通过所述动脉开口并进入所述心室; 将第二操纵仪器固定到瓣膜假体上; 以及使用所述第二操纵器械使所述瓣膜假体的至少一部分从所述心室收回。

4. 发明申请

US20060004443A1 Automated annular plication for mitral valve repair 审中-公开
公开(公告)号：US20060004443A1
公开(公告)日：2006-01-05
申请号：US11154990
申请日：2005-06-16
申请人： John Liddicoat , Gregory Lambrecht , Richard Streeter , Steven Woolfson
发明人： John Liddicoat , Gregory Lambrecht , Richard Streeter , Steven Woolfson
IPC分类号： A61F2/24
CPC分类号： A61F2/2445 , A61B17/00234 , A61B17/0401 , A61B17/0466 , A61B17/064 , A61B17/0644 , A61B17/0684 , A61B2017/00004 , A61B2017/00243 , A61B2017/00783 , A61B2017/0414 , A61B2017/0496 , A61B2017/0641 , A61F2/2454
摘要： A novel system for performing a heart valve annuloplasty. The system involves the use of a plication band. In one embodiment, the annulus of the valve is reduced by constriction of the plication band itself. More particularly, each plication band enters the tissue at two or more points which are spaced from one other by a distance which is dictated by the geometry of the plication band. Subsequent constriction of the plication band causes these points to move toward each other, thereby constricting the tissue trapped between these points and thus reducing the overall circumference of the valve annulus. In a second embodiment, the annulus of the valve is reduced by linking multiple plication bands to one other, using a linkage construct, and then using a shortening of the length of the linkage construct between each plication band so as to gather the tissue between each plication band, whereby to reduce the overall circumference of the valve annulus.

5. 发明申请

US20050049679A1 Method and apparatus for improving mitral valve function 审中-公开
公开(公告)号：US20050049679A1
公开(公告)日：2005-03-03
申请号：US10641975
申请日：2003-08-15
申请人： Daniel Taylor , John Liddicoat , Richard Streeter , Steven Woolfson , William Cohn , Todd Davenport , Thomas Kordis
发明人： Daniel Taylor , John Liddicoat , Richard Streeter , Steven Woolfson , William Cohn , Todd Davenport , Thomas Kordis
IPC分类号： A61B17/00 , A61B17/12 , A61F2/24 , A61F2/06
CPC分类号： A61F2/2451
摘要： A method and apparatus for reducing mitral regurgitation. The apparatus is inserted into the coronary sinus of a patient in the vicinity of the posterior leaflet of the mitral valve, the apparatus being adapted to straighten the natural curvature of at least a portion of the coronary sinus in the vicinity of the posterior leaflet of the mitral valve, whereby to move the posterior annulus anteriorly and thereby improve leaflet coaptation and reduce mitral regurgitation.

6. 发明申请

US20060229717A1 Method and apparatus for reducing mitral regurgitation 审中-公开
公开(公告)号：US20060229717A1
公开(公告)日：2006-10-12
申请号：US11371642
申请日：2006-03-09
申请人： William Cohn , John Liddicoat , Steven Woolfson , Todd Davenport , Richard Streeter
发明人： William Cohn , John Liddicoat , Steven Woolfson , Todd Davenport , Richard Streeter
IPC分类号： A61F2/24 , A61B17/34
CPC分类号： A61F2/2451 , A61B17/3468 , A61B17/3478 , A61B2017/00247 , A61B2018/00392 , A61F2250/0007 , A61F2250/0063 , Y10S623/904
摘要： A method for reducing mitral regurgitation includes deploying deforming matter into a selected one of (i) a mitral valve annulus adjacent a posterior leaflet, and (ii) tissue adjacent the mitral valve annulus and proximate the posterior leaflet, to cause conformational change in the mitral valve annulus to increase mitral valve leaflet coaptation.

7. 发明申请

US20080103590A1 Method and apparatus for reducing mitral regurgitation 审中-公开
标题翻译：减少二尖瓣反流的方法和装置
公开(公告)号：US20080103590A1
公开(公告)日：2008-05-01
申请号：US11818991
申请日：2007-06-15
申请人： Daniel Taylor , William Cohn , John Liddicoat , Steven Woolfson , Todd Davenport , Richard Streeter , Thomas Kordis , Jonathan Rourke
发明人： Daniel Taylor , William Cohn , John Liddicoat , Steven Woolfson , Todd Davenport , Richard Streeter , Thomas Kordis , Jonathan Rourke
IPC分类号： A61F2/24 , A61F2/06
CPC分类号： A61F2/2451 , A61B17/3468 , A61B17/3478 , A61B2017/00247 , A61B2018/00392 , A61F2250/0007 , A61F2250/0063 , Y10S623/904
摘要： A method and device for reducing mitral regurgitation. An elongated body is positioned in a coronary sinus of a patient in a vicinity of a heart mitral valve posterior leaflet. The body is adapted to straighten a natural curvature of at least a portion of the coronary sinus in the vicinity of the posterior leaflet to move a posterior annulus anteriorly, which in turn moves the posterior leaflet anteriorly, thereby to improve leaflet coaptation.
摘要翻译：一种减少二尖瓣反流的方法和装置。细长的身体位于心脏二尖瓣后叶附近的患者的冠状窦内。身体适于矫正在后小叶附近的冠状窦的至少一部分的自然曲率，以向前移动后环，这又使前叶向前移动，从而改善小叶接合。

8. 发明申请

US20050261669A1 Intracardiovascular access (ICVA™) system 审中-公开
标题翻译：心内通路（ICVA（TM））系统
公开(公告)号：US20050261669A1
公开(公告)日：2005-11-24
申请号：US11115087
申请日：2005-04-26
申请人： Richard Streeter , John Liddicoat , Todd Davenport
发明人： Richard Streeter , John Liddicoat , Todd Davenport
IPC分类号： A61B17/00 , A61B17/02 , A61B17/34 , A61N1/05 , A61N1/36 , A61N1/362 , A61N1/38 , A61N1/39
CPC分类号： A61N1/36114 , A61B17/3417 , A61B2017/00243 , A61B2017/00969 , A61B2017/0243 , A61B2017/3445 , A61B2017/3449 , A61N1/056 , A61N1/362 , A61N1/385 , A61N1/3962
摘要： Apparatus is disclosed for providing access to a functioning vascular system of a patient, the apparatus comprising: a main body having sidewalls defining an interior region and an exterior region, a bottom end and a top end; a base being formed at the bottom end of the main body, securing means being configured on the base so as to allow attachment and formation of a seal between the base and the functioning vascular system of the patient, and the base being configurable to provide a passageway from the interior region of the main body to the functioning vascular system of the patient; and a cover being formed at the top end of the main body, wherein the cover provides a barrier between the interior region and the exterior region at the top end of the main body.
摘要翻译：公开了用于提供对患者的功能性血管系统的访问的装置，该装置包括：主体，其具有限定内部区域和外部区域，底部端部和顶端的侧壁; 基部形成在主体的底端，固定装置构造在基部上，以便允许在基部和患者的功能性血管系统之间的密封的附接和形成，并且基座可配置成提供从主体的内部区域到患者的功能性血管系统的通道; 以及盖，其形成在所述主体的顶端，其中所述盖在所述主体的顶端处在所述内部区域与所述外部区域之间提供阻挡层。

9. 发明申请

US20070213814A1 Method and apparatus for improving mitral valve function 审中-公开
公开(公告)号：US20070213814A1
公开(公告)日：2007-09-13
申请号：US11714710
申请日：2007-03-06
申请人： John Liddicoat , Daniel Taylor , Richard Streeter , Steven Woolfson , William Cohn , Todd Davenport
发明人： John Liddicoat , Daniel Taylor , Richard Streeter , Steven Woolfson , William Cohn , Todd Davenport
IPC分类号： A61F2/24
CPC分类号： A61F2/2451 , A61F2/2466 , Y10S623/903 , Y10S623/904
摘要： A method and apparatus for reducing mitral regurgitation. The apparatus is inserted into the coronary sinus of a patient in the vicinity of the posterior leaflet of the mitral valve, the apparatus being adapted to straighten the natural curvature of at least a portion of the coronary sinus in the vicinity of the posterior leaflet of the mitral valve, whereby to move the posterior annulus anteriorly and thereby improve leaflet coaptation and reduce mitral regurgitation.

10. 发明申请

US20050010285A1 Cardiac valve procedure methods and devices 有权
标题翻译：心脏瓣膜手术方法和装置
公开(公告)号：US20050010285A1
公开(公告)日：2005-01-13
申请号：US10787057
申请日：2004-02-25
申请人： Gregory Lambrecht , John Liddicoat , Robert Moore
发明人： Gregory Lambrecht , John Liddicoat , Robert Moore
IPC分类号： A61F2/06 , A61F2/24 , A61M5/00
CPC分类号： A61F2/2418 , A61F2/2412 , A61F2/2427 , A61F2220/0016 , A61F2250/0059
摘要： The present invention discloses devices and methods for performing intravascular procedures with out: cardiac bypass. The devices include various embodiments of temporary filter devices, temporary valves, and prosthetic valves. The temporary filter devices have one or more cannulae which provide access for surgical tools for effecting repair of the cardiac valves. A cannula may have filters of various configurations encircling the distal region of the cannula, which prevent embolitic material from entering the coronary arteries and aorta. The temporary valve devices may also have one or more cannulae which guide the insertion of the valve into the aorta. The valve devices expand in the aorta to occupy the entire flow path of the vessel. In one embodiment, the temporary valve is a disc of flexible, porous, material that acts to filter blood passing therethrough. A set of valve leaflets extend peripherally from the disc. These leaflets can alternately collapse to prevent blood flow through the valve and extend to permit flow. The prosthetic valves include valve fixation devices which secure the prosthetic valve to the wall of the vessel. In one embodiment, the prosthetic valves have at least one substantially rigid strut, at least two expandable fixation rings located about the circumference of the base of the apex of the valve, and one or more commissures and leaflets. The prosthetic valves are introduced into the vascular system a compressed state, advanced to the site of implantation, expanded and secured to the vessel wall.
摘要翻译：本发明公开了用于进行血管内手术的装置和方法：心脏旁路。这些装置包括临时过滤装置，临时阀和假肢阀的各种实施例。临时过滤器装置具有一个或多个套管，其提供用于外科手术工具的进入以实现心脏瓣膜的修复。套管可以具有围绕套管的远侧区域的各种构造的过滤器，其防止栓塞材料进入冠状动脉和主动脉。临时阀装置还可以具有一个或多个引导阀插入主动脉的套管。瓣膜装置在主动脉中扩张以占据血管的整个流动路径。在一个实施例中，临时阀是柔性多孔材料的盘，其用于过滤血液中的血液。一组瓣叶从圆盘外围延伸。

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